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Louisiana rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.39 / $229.70 / $326.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.97 / $229.70 / $332.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.48 / $595.33 / $836.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.64 / $284.26 / $284.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $277.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $277.45 / $277.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.94 / $199.74 / $316.77